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Nonprofiteer
← LONE STAR CIRCLE OF CARE

Form 990 for tax year 2023

Filed by LONE STAR CIRCLE OF CARE.

Totals

Total revenue
$92,218,359
Total expenses
$101,633,624
Contributions and grants received
$28,746,055
Grants paid
$0
Program service revenue
$62,519,816
Investment income
$912,667
Other revenue
$39,821
Total assets, end of year
$80,347,274
Total liabilities, end of year
$31,429,731
Net assets or fund balances, end of year
$48,917,543
Program services expenses (Part IX)
$87,897,563
Management and general expenses
$11,114,003
Fundraising expenses
$2,622,058
Program service expenses (Part III)
$87,897,563

Program services were 86.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $12,015,660

  • 1f · All other contributions, gifts and grants

    $16,730,395

  • 1g · Noncash contributions included above

    $3,861,119

  • 2a · Program service revenue: PATIENT SERVICE REV

    total $60,738,606 · related or exempt $60,738,606

  • 2b · Program service revenue: PAY FOR PERFORMANCE

    total $1,781,210 · related or exempt $1,781,210

  • 3 · Investment income

    total $887,902 · excluded $887,902

  • 6a · Gross rents

    real property $39,821

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $39,821

  • 6d · Net rental income or loss

    total $39,821 · excluded $39,821

  • 7a · Gross sales of assets other than inventory

    securities $394,819

  • 7b · Less cost or other basis and sales expenses

    securities $361,822 · other assets $8,232

  • 7c · Gain or loss

    securities $32,997 · other assets -$8,232

  • 7d · Net gain or loss

    total $24,765 · excluded $24,765

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,977,212 · program services $1,142,856 · management and general $1,834,356

  • 7 · Other salaries and wages

    total $52,834,660 · program services $47,105,136 · management and general $4,373,742 · fundraising $1,355,782

  • 8 · Pension plan contributions

    total $743,498 · program services $666,883 · management and general $62,351 · fundraising $14,264

  • 9 · Other employee benefits

    total $5,685,540 · program services $4,969,878 · management and general $611,487 · fundraising $104,175

  • 10 · Payroll taxes

    total $4,000,407 · program services $3,466,385 · management and general $461,911 · fundraising $72,111

  • 11b · Fees: legal

    total $71,304 · management and general $71,304

  • 11c · Fees: accounting

    total $163,028 · management and general $163,028

  • 11g · Fees: other

    total $3,880,345 · program services $2,824,054 · management and general $777,615 · fundraising $278,676

  • 12 · Advertising and promotion

    total $607,997 · program services $336,543 · management and general $177,988 · fundraising $93,466

  • 13 · Office expenses

    total $1,553,061 · program services $859,662 · management and general $454,651 · fundraising $238,748

  • 14 · Information technology

    total $2,921,173 · program services $2,178,678 · management and general $652,366 · fundraising $90,129

  • 16 · Occupancy

    total $7,285,569 · program services $6,715,592 · management and general $502,457 · fundraising $67,520

  • 17 · Travel

    total $339,686 · program services $188,026 · management and general $99,441 · fundraising $52,219

  • 19 · Conferences, conventions and meetings

    total $140,256 · program services $77,636 · management and general $41,059 · fundraising $21,561

  • 20 · Interest

    total $233,544 · program services $88,601 · management and general $82,756 · fundraising $62,187

  • 22 · Depreciation, depletion and amortization

    total $3,046,880 · program services $2,696,201 · management and general $328,003 · fundraising $22,676

  • 23 · Insurance

    total $565,342 · program services $409,002 · management and general $116,296 · fundraising $40,044

  • 24a · Other expenses: PHARMACY SUPPLIES

    total $8,861,138 · program services $8,861,138

  • 24b · Other expenses: MEDICAL/ANCILLIARY SUPP

    total $2,975,404 · program services $2,951,310 · management and general $17,436 · fundraising $6,658

  • 24c · Other expenses: DISPENSING/ADMIN FEES

    total $1,214,583 · program services $1,214,583

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $433,098 · program services $239,732 · management and general $126,787 · fundraising $66,579

  • 24e · All other expenses

    total $1,099,899 · program services $905,667 · management and general $158,969 · fundraising $35,263

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,212,502 · end of year $2,228,929

  • 2 · Savings and temporary cash investments

    beginning of year $16,457,725 · end of year $8,945,262

  • 3 · Pledges and grants receivable

    beginning of year $12,384,963 · end of year $8,783,484

  • 4 · Accounts receivable

    beginning of year $7,602,547 · end of year $14,256,875

  • 8 · Inventories for sale or use

    beginning of year $2,489,092 · end of year $2,524,387

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,532,794 · end of year $1,028,078

  • 10a · Land, buildings and equipment: cost or other basis

    $46,273,910

  • 10b · Land, buildings and equipment: accumulated depreciation

    $23,442,975

  • 10c · Land, buildings and equipment, net

    beginning of year $21,662,412 · end of year $22,830,935

  • 11 · Investments: publicly traded securities

    beginning of year $5,013,381 · end of year $6,059,046

  • 15 · Other assets

    beginning of year $13,873,349 · end of year $13,690,278

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,063,123 · end of year $8,588,479

  • 23 · Secured mortgages and notes payable

    beginning of year $2,451,391 · end of year $8,934,581

  • 25 · Other liabilities

    beginning of year $14,299,644 · end of year $13,906,671

  • 27 · Net assets without donor restrictions

    beginning of year $43,274,714 · end of year $39,115,058

  • 28 · Net assets with donor restrictions

    beginning of year $14,139,893 · end of year $9,802,485

Mission and programs · 2023

Mission

LONE STAR CIRCLE OF CARE PROVIDES EXCEPTIONAL AND ACCESSIBLE PATIENT CENTERED HEALTHCARE FOR OUR TEXAS NEIGHBORS, FOCUSING ON THE UNDERSERVED.

  • MEDICAL PROGRAMS: LONE STAR CIRCLE OF CARE (LSCC) HAS MULTIPLE MEDICAL SERVICE LINES THAT PROVIDE PRIMARY & ACUTE MEDICAL CARE INCLUDING PREVENTION, DIAGNOSIS, AND TREATMENT OF CHRONIC CONDITIONS. IN THE PAST YEAR, LSCC PROVIDED 119,753 PEDIATRIC PATIENT VISITS, 82,487 FAMILY MEDICINE PATIENT VISITS, 8,953 SENIOR CARE PATIENT VISITS, 34,432 OB/GYN PATIENT VISITS (INCLUDING 2,149 BABY DELIVERIES), 1,737 OPTOMETRY VISITS, 2,885 CONVENIENT CARE VISITS, AND 3,946 MOBILE MAMMOGRAPHY VISITS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION ABOUT THE SERVICES PROVIDED.

    Expenses $74,968,007 · Revenue $53,323,276

  • INTEGRATED BEHAVIORAL HEALTH: LSCC'S INTEGRATED BEHAVIORAL HEALTH MODEL ADDRESSES THE COMPLETE PRIMARY MEDICAL AND MENTAL HEALTH NEEDS OF ADULT, ADOLESCENT, SENIOR, AND PEDIATRIC PATIENTS. BY PROVIDING CONTINUOUS ACCESS TO TREATMENT AND MEDICATIONS, LSCC IS HELPING TO REDUCE EMERGENCY ROOM VISITS AND CRISES RELATED TO UNTREATED MENTAL HEALTH ISSUES. SERVICES PROVIDED INCLUDE PSYCHIATRY, PSYCHOTHERAPY, AND COUNSELING FOR SENIORS, ADULTS, ADOLESCENTS, AND CHILDREN. THE BEHAVIORAL HEALTH CLINICS PROVIDED 52,326 PATIENT VISITS LAST YEAR.

    Expenses $8,139,320 · Revenue $5,789,339

  • DENTAL CARE: LSCC PROVIDES GENERAL DENTISTRY SERVICES FOR ADULTS AND CHILDREN IN THE CENTRAL TEXAS COMMUNITY. LSCC'S GCC DENTAL CENTER IN GEORGETOWN AND DENTAL CLINICS IN ROUND ROCK, MARBLE FALLS, BASTROP, AND AUSTIN ARE DEDICATED TO PROVIDING AFFORDABLE, ACCESSIBLE CARE TO THE UNINSURED AND UNDER-SERVED. LSCC PROVIDED 19,344 PATIENT VISITS IN THE PAST YEAR.

    Expenses $4,790,236 · Revenue $3,407,201

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jonathan Calvin Fache CPA Cma

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $563,851
    From this org
    $541,350
    From related orgs
    $0
    Other
    $22,501
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $458,119
    Bonus
    $79,000
    Other
    $4,231
    Deferred
    $6,600
    Nontaxable benefits
    $15,901
    Filer's total
    $563,851
  • Kathleen V Butler MD MBA Cmq Cph

    CHIEF MED OFFICER/CHIEF QUAL OFFICER

    Total calculated
    $443,681
    From this org
    $426,321
    From related orgs
    $0
    Other
    $17,360
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $393,766
    Bonus
    $32,555
    Other
    $0
    Deferred
    $6,600
    Nontaxable benefits
    $10,760
    Filer's total
    $443,681
  • Beth Thai MD

    MD - OB/GYN

    Total calculated
    $440,702
    From this org
    $432,065
    From related orgs
    $0
    Other
    $8,637
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $292,395
    Bonus
    $129,031
    Other
    $10,639
    Deferred
    $6,600
    Nontaxable benefits
    $2,037
    Filer's total
    $440,702
  • Andrew Mahaffey MD

    VP OF OB/GYN SERVICES

    Total calculated
    $439,285
    From this org
    $420,070
    From related orgs
    $0
    Other
    $19,215
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $389,939
    Bonus
    $29,006
    Other
    $1,125
    Deferred
    $6,600
    Nontaxable benefits
    $12,615
    Filer's total
    $439,285
  • Rachel Pantoja MD

    MD - OB/GYN

    Total calculated
    $430,900
    From this org
    $415,232
    From related orgs
    $0
    Other
    $15,668
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $266,870
    Bonus
    $131,359
    Other
    $17,003
    Deferred
    $6,600
    Nontaxable benefits
    $9,068
    Filer's total
    $430,900
  • Helio Zapata MD

    MD - OB/GYN

    Total calculated
    $406,743
    From this org
    $385,479
    From related orgs
    $0
    Other
    $21,264
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $241,996
    Bonus
    $129,783
    Other
    $13,700
    Deferred
    $6,600
    Nontaxable benefits
    $14,664
    Filer's total
    $406,743
  • Shayla Matthews-Jackson MD

    MD - OB/GYN

    Total calculated
    $370,250
    From this org
    $348,986
    From related orgs
    $0
    Other
    $21,264
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $263,713
    Bonus
    $84,286
    Other
    $987
    Deferred
    $6,600
    Nontaxable benefits
    $14,664
    Filer's total
    $370,250
  • Tillery Stout JD

    CHIEF ADMIN OFFICER & GEN COUNSEL

    Total calculated
    $350,197
    From this org
    $331,770
    From related orgs
    $0
    Other
    $18,427
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $301,577
    Bonus
    $30,193
    Other
    $0
    Deferred
    $6,600
    Nontaxable benefits
    $11,827
    Filer's total
    $350,197
  • Melissa R Valdez MD

    DIR OF PSYCH & BEHAV HEALTH / CCIO

    Total calculated
    $317,402
    From this org
    $299,038
    From related orgs
    $0
    Other
    $18,364
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $299,038
    Bonus
    $0
    Other
    $0
    Deferred
    $6,600
    Nontaxable benefits
    $11,764
    Filer's total
    $317,402
  • Lindsey Tippit Mha Mshct

    CHIEF OPERATING OFFICER

    Total calculated
    $300,112
    From this org
    $283,628
    From related orgs
    $0
    Other
    $16,484
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $259,790
    Bonus
    $23,838
    Other
    $0
    Deferred
    $6,168
    Nontaxable benefits
    $10,316
    Filer's total
    $300,112
  • Adeyoyin Okunade MD Faafp

    FAMILY PRACTICE MEDICAL DIRECTOR

    Total calculated
    $292,246
    From this org
    $269,975
    From related orgs
    $0
    Other
    $22,271
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $259,512
    Bonus
    $10,463
    Other
    $0
    Deferred
    $6,360
    Nontaxable benefits
    $15,911
    Filer's total
    $292,246
  • Raj Diwan DDS Magd MBA

    DIRECTOR OF DENTAL SERVICES

    Total calculated
    $253,456
    From this org
    $239,516
    From related orgs
    $0
    Other
    $13,940
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $225,916
    Bonus
    $13,032
    Other
    $568
    Deferred
    $4,947
    Nontaxable benefits
    $8,993
    Filer's total
    $253,456
  • Brandon Teenier CPA

    FORMER CFO (THRU 10/2023)

    Total calculated
    $252,505
    From this org
    $244,302
    From related orgs
    $0
    Other
    $8,203
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $229,527
    Bonus
    $0
    Other
    $14,775
    Deferred
    $0
    Nontaxable benefits
    $8,203
    Filer's total
    $252,505
  • Rodolfo Szoke Chcio Cdhe Csm Cspo

    CHIEF INFORMATION OFFICER

    Total calculated
    $252,266
    From this org
    $234,030
    From related orgs
    $0
    Other
    $18,236
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $213,193
    Bonus
    $20,837
    Other
    $0
    Deferred
    $4,996
    Nontaxable benefits
    $13,240
    Filer's total
    $252,266
  • Nichole Cook

    CFO (START 8/2024)

    Total calculated
    $0
    Hours/week
    55
  • Steve Pena

    BOARD MEMBER - CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Elizabeth Johnson

    BOARD MEMBER - VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Scott Alarcon

    BOARD MEMBER - TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Rudy Metayer

    BOARD MEMBER - SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Sasha Bulkley

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Jo Carcedo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • John Gustainis

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Jack Hunnicutt

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Alton McCallum

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Mark Schroeder

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Roland Valle

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
THE ORGANIZATION PROVIDED BONUS PAYMENTS TO CERTAIN INDIVIDUALS LISTED IN FORM 990, PART VII AND SCHEDULE J WHICH WERE DISCRETIONARY, AND THUS WOULD BE CONSIDERED "NON-FIXED PAYMENTS".

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
10 October 2025
IRS schema version
2023v6.0
Source object
202542849349300714

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